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Show Notes: What does it take to move ICU rehab forward — and who's leading the charge? In this episode, co-hosts Dr. Leo Arguelles and Dr. Daniel Young sit down with Dr. Monica Silva Damasceno (MD Anderson Cancer Center) and Dr. Vinh Tran (University of New Mexico) — two clinicians who shared the stage at CSM's ICU Rehab panel alongside Dale Needham, Jen Ryan, and Chris Wells. Together, they unpack what's changing in critical care physical therapy — from dismantling barriers and writing mobility into unit culture, to building true interprofessional collaboration that lasts beyond a single champion. Monica shares her journey from Brazil to Houston Methodist's Critical Care Fellowship, and how mentorship shaped her vision for ICU practice. Vinh reflects on his path from cardiac medicine to academia, bridging implementation science with bedside experience. The conversation highlights the power of structure, communication, and persistence in advancing early mobility — especially in smaller hospitals where “doing more with less” is a daily reality. Today's Guests: Monica Damasceno PT, DPT, CCS monicasdapt@gmail.com linkedin.com/in/monica-silva-damasceno-pt-dpt-ccs-03989965 Vihn Tran PT, DPT, PhD, CCS https://www.linkedin.com/in/vinh-tran-169015200/ Guest Quotes: 15:25 Vihn “ I agree in the shorter duration just because by necessity, if they're in the ICU, they're medically unstable, right? So you're limited on how aggressive you can be, although I do think we can be more aggressive than the average person thinks. So yeah, I think that seems reasonable to, to shorter sessions, but perhaps more frequently. With a caveat that there is potential out there to do longer sessions in certain really niche or precise circumstances.” 20:24 Advice for those therapists that working like the smaller kind of rural community hospitals that wanna kind of make a dent and or wanna start implementing more ICU rehab? Vihn “ ..really, it's not just a PT or rehab driven process, right. Like we in rehab can just flick a switch and all of a sudden this happens. It requires an extensive amount of collaboration between providers, nurses, techs, your own staff, your equipment managers. Everyone needs to be on board with what the overall aim is. So in order to really get the ball rolling first to me, like identify champions in, in allied communities. So whether it's a nursing manager that potentially sees the value in early mobility, perhaps it's a Mutually beneficial relationship where we can provide higher quality therapy or an earlier timeframe. At the same time, we can relieve some of the mobility tasks that nursing might have to do or help them do it in a more safe aspect.” Monica “ ..having an agreement with your team and having the the champions. One from or multiple people from different groups, a doctor, nurses, and then have a plan of what you see for your unit in the future with this, those people, and create your practices like every day. Cultivating that practice of mobility and encouraging and helping each other.” 29:06 Monica “ one of the strategies to try to encourage more mobility is asking. What is the mobility plan during the rounds? Any rounds you have to have an answer. Then, then you think about mobility.” Rapid Responses: What's your go-to karaoke song? Monica: “it is Mariah Carey. It's song Mariah Carey. Always Mariah Carey. Yeah. Any song that I can find? Mariah Carey. Which is the hardest to sing. Can you imagine talking about the scales there? Vihn: I'm from St. Louis and I love Nelly, so I just gotta go with Nelly.” You know you work in acute care when… Vihn: “ When you don't care what you're wearing in the work or how you look, I should say that way.” Monica: “ The scrubs have extra scrubs, I would say and all. And also having the safety pins in your pocket to secure the lines.” Links: https://orcid.org/0009-0009-6275-4362
Today on Pulm PEEPs, we are joined by two pioneers in the field of post-intensive care outcomes and delirium research. Drs. Dale Needham and Wes Ely talk to us all about the Post Intensive Care Syndrome (PICS) and cover everything … Continue reading →
Daniel Munblit and Dale Needham discuss the importance of developing a core outcome set for post-COVID-19 condition.Read the full Position Paper:A core outcome set for post-COVID-19 condition in adults for use in clinical practice and research: an international Delphi consensus study
Research and clinical practice in the field of early physical rehabilitation for critically ill patients is a dynamic field with evolving evidence from randomized controlled trials. Many studies have demonstrated the safety and feasibly of early rehabilitation interventions in the ICU, with improved patient outcomes. Consequently, international clinical practice guidelines support ICU-based physical rehabilitation. Further research is required to refine existing knowledge to identify which patients will benefit the most; determine optimal timing, duration, and type of intervention; understand potential synergistic effects with light sedation and nutritional interventions; and standardize assessment of patient outcomes.
In the sixth installment of our Johns Hopkins series, host Bill Curtis relives some favorite moments. Hear from Dr. Dale Needham, Dr. Martin Brodsky, and Dr. Megan Hosey on their innovative and groundbreaking techniques in the ICU. We also touch on Dr. Christopher Earley’s revolutionary care and treatment of Restless Leg Syndrome. And finally, we learn from Dr. Ken Pienta about the in’s-and-outs of the silent killer that is prostate cancer, and how best we can treat it pre- and post-diagnosis. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care. Episode Timestamps: 1:40 Why is sedating the wrong way to go for ICU care? 3:25 How did Dr. Dale Needham break the traditional adage of sedation in the ICU first? 6:09 Techniques on orienting patients during a time of delusion in the ICU. 8:15 Dr. Hosey shares some advice for physicians dealing with psychological care in the ICU. 10:30 How does Speech Language Pathologist Dr. Martin Brodsky communicate with ICU patients? 13:15 What is RLS - Restless Leg Syndrome? 15:47 What is the innovative technique Dr. Christopher Earley uses to treat RLS? 17:47 Why do so many men die from prostate cancer? 19:02 What are the signs men should look for in identifying prostate cancer? 20:02 The use of proton therapy in urological issues such as prostate cancer. 23:05 Dr. Hosey shares her emotional experience with how COVID has changed her life. ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick A CurtCo Media Production See omnystudio.com/listener for privacy information.
How to manage the intubated critically ill patient while keeping them awake, non-delirious, and mobile, with Dr. Dale Needham, FCPA, MD, PhD. Dr. Needham is a Professor of Pulmonary and Critical Care Medicine as well as Physical Medicine and Rehabilitation at the Johns Hopkins University. He is also director of their Outcomes After Critical Illness … Continue reading "Episode 26: ICU sedation, mobility, and delirium with Dale Needham"
In the first installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Dale Needham, Medical Director, Critical Care Physical Medicine & Rehabilitation Program, and Professor of Medicine at Johns Hopkins Medicine. Dr. Needham’s breakthrough work & research in wakefulness in the ICU is paving the way for how the industry treats delirium and post intensive care syndrome to improve ICU stays and reduce recovery times. In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research and clinical care. Timestamps: 1:55 Motion and cognitive activity in an ICU 5:21 Transitioning from the culture of sedation to wakefulness in the ICU 7:40 A case of long lasting cognitive impairment post ICU treatment 10:08 How much of ICU caused impairment can be reversed? 11:33 How does care differ now in the ICU? 15:05 Staffing for wakefulness in the ICU 16:40 How do nurses interact with patients to keep them alert? 20:56 Johns Hopkins Critical Care Rehabilitation Conference 22:30 Advice to critical care experts to priming their staff for a wakeful ICU on limited resources 26:46 Unique ICU care for COVID at Johns Hopkins 3 2:32 Improving sleep in the ICU 36:50 Home health agencies 38:45 Dr. Needham shares advice on what to do if you find yourself as a patient in an ICU 41:12 Virtual reality in the ICU ----------------- Learn More: Medicine, We’re Still Practicing Follow Us: Twitter | Facebook | Instagram Hosted by: Dr. Steven Taback & Bill Curtis Produced and Edited by: AJ Moseley Sound Engineering by: Steve Reickeberg Theme Music by: Celleste and Eric Dick See omnystudio.com/listener for privacy information.
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Dale Needham. They discuss the diagnosis and management of post-intensive care syndrome in the era of COVID-19. Dr. Needham is a Professor of Medicine and the Medical Director of the Critical Care Physical Medicine and Rehabilitation program at Johns Hopkins Hospital in Baltimore, Maryland.
I was lucky enough to be able to join Tanj and Dale Needham in this conversation at the ICS State of the Art conference 2018 in London. We discuss some of the ongoing issues with delirium in the critical care patient and how we might help them in prevention. Interview Questions for Advanced Critical Care Practitioners […] The post CCP Podcast 102: Dale Needham and Delirium appeared first on Critical Care Practitioner.
Dr. Needham is Professor of Pulmonary and Critical Care Medicine, and of Physical Medicine and Rehabilitation at the Johns Hopkins University in Baltimore, USA. He is Director of the “Outcomes After Critical Illness and Surgery” (OACIS) Research Group and core faculty with the Armstrong Institute for Patient Safety and Quality, both at Johns Hopkins. From a clinical perspective, he is an attending physician in the medical intensive care unit at Johns Hopkins Hospital and Medical Director of the Johns Hopkins Critical Care Physical Medicine and Rehabilitation program. Dr. Needham received his MD degree from McMaster University in Hamilton, Canada, and completed both his residency in internal medicine and his fellowship in critical care medicine at the University of Toronto. He obtained his PhD in Clinical Investigation from the Bloomberg School of Public Health at Johns Hopkins University. Notably, prior to his medical training, he completed Bachelor and Master degrees in Accounting and practiced in a large international accounting firm, with a focus in the health care field. Dr. Needham is Principal Investigator on a number of NIH research grants and has authored more than 250 publications. His research interests include evaluating and improving ICU patients’ long-term physical, cognitive and mental health outcomes, including research in the areas of sedation, delirium, early physical rehabilitation, and knowledge translation and quality improvement.
I was lucky enough to be able to join Tanj and Dale Needham in this conversation at the ICS State of the Art conference 2018 in London. We discuss some of the ongoing issues with delirium in the critical care patient and how we might help them in prevention. Interview Questions for Advanced Critical Care Practitioners […]
Dale Needham is the 2018 David Bennett Speaker In conversation with Charlotte Summers
Dr. Dale Needham joins us to discuss the benefits of beginning rehabilitation early on in the ICU setting. ----------------------------------------------------------------------------------------------- Disclaimer: We make every effort to broadcast correct information. We will double check facts and assertions, but realize that medicine is a constantly changing science and art. One doctor may have a different way of doing things from another, and the views expressed are solely those of the person expressing them. We welcome any comments, suggestions, or correction of errors. We do not accept money from drug or device companies. By listening to this podcast or reading this blog, you agree not to use this podcast or blog as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or blog. Under no circumstances shall McGovern Medical School, any guests or contributors to the podcast or blog, or any employees, associates, or affiliates of UTHealth be responsible for damages arising from use of the podcast or blog.
Disclaimer: audio for this episode is slightly distorted; we apologize for any inconvenience. Dr. Trish Kritek discusses the findings of this study with authors Biren Kamdar and Dale Needham.
Congrats! You saved your patient from their critical illness – but do you know what happens to them after they leave your ICU? Well, if not – you might be shocked to find out. This week we were lucky enough to have Dr. Dale Needham come and discuss how he ...
This episode - the first English edition of "Die Intensivrundschau" features an interview with Dr. Dale Needham, Associate Professor Of Medicine at Johns Hopkins in Baltimore. He talks about the early mobilization of critically ill patients. LINKS: * The Mobilization Network website * The website of the OACIS group from Johns Hopkins Baltimore SHOWNOTES: Music is from the new album Between Hurricanes by Stephen Fearing. Go and get it! FEEDBACK: * Please send an eMail to intensivRS@gmail.com or leave a message here on the Podcast Blog. Thank you!
In dieser, der neunten Episode erzählt Dr. Claudius Conrad, Chirurg aus Boston, über die Zusammenhänge zwischen Musik und Medizin / Musik und Pflege. NEWS AGGREGATOR: * Zu viel Stress macht erschöpfte Frauen überempfindlich für Klänge * Bereits kurze Unterbrechungen einer Tätigkeit erhöhen die Fehlerrate drastisch * MOV und Verdauungsenzyme - Über den Zusammenhang * Tägliche antiseptische Waschungen reduzieren bloodstream infections *Nachgeliefert: Ein Bericht über die CHEST-Studie (Vergleich Kolloidale vs. NaCl) LINKS: * Die Arbeitsgruppe "Music in Medicine" von Claudius Conrad am Massachusetts General Hospital in Boston * Die Website von Daniel Levitin, Neurowissenschaftler, Musiker, Musikproduzent und Buchautor * Im Podcast genannt: Ansgar Herkenrath, Musiktherapie und Wachkoma *Die Diane Rehm Radioshow mit Tim Girard, Dale Needham und Donna Stanczac * Der Blog von Dr. Jim Amos. Psychiater aus Iowa, mit Videos, Texten und Links zum Thema Delirium und einer ganzen Menge anderer Dinge. * Der Pflegenotstand ist existent. Andreas Westerfellhaus im Interview bei Deutschlandradio Kultur Die Musik in dieser Episode spielt Claudius Conrad - Mozart's Klaviersonate KV 576.
Jennifer Quint (Thorax’s journal club editor) talks to Dale Needham (associate professor of medicine, Johns Hopkins University School of Medicine) about his paper recently published in the BMJ:See also:http://www.bmj.com/content/344/bmj.e2124
Guest: Dale Needham, MD, PhD Host: Lee Freedman, MD What complications in the ICU might lead to a patient experiencing post-traumatic stress disorder after an ICU stay? Is it better to keep ICU patients sedated to prevent pain, or is there an advantage to encouraging movement as soon as possible? Host Dr. Lee Freedman debates this question with Dr. Dale Needham, assistant professor in the division of pulmonary and critical care medicine at Johns Hopkins University. Are certain patients more susceptible than others to developing PTSD after being in the ICU?
Guest: Dale Needham, MD, PhD Host: Lee Freedman, MD What complications in the ICU might lead to a patient experiencing post-traumatic stress disorder after an ICU stay? Is it better to keep ICU patients sedated to prevent pain, or is there an advantage to encouraging movement as soon as possible? Host Dr. Lee Freedman debates this question with Dr. Dale Needham, assistant professor in the division of pulmonary and critical care medicine at Johns Hopkins University. Are certain patients more susceptible than others to developing PTSD after being in the ICU?